Hyson J M
Division of Health Services Research, Department of Health Promotion and Policy, Baltimore College of Dental Surgery, Dental School, University of Maryland, 21201, USA.
J Calif Dent Assoc. 2006 Mar;34(3):215-29.
The current amalgam issue is not new. In the 1840s, there was even an "amalgam war" between the dentists who advocated the use of gold as a restorative material and those who used silver amalgam as a filling material. There were complaints of the ill effects of mercury in the amalgam as a health problem. The split on this issue threatened to divide dentistry into two camps: those who used amalgam and those who condemned it. The first national dental society in the United States, the American Society of Dental Surgeons, had to disband because of the controversy. There was even a "New Departure" movement in the 1880s to eliminate gold as a restorative material in badly broken down teeth, which could be more readily salvaged by the use of material that did not require the force of condensation needed to pack a gold foil, then considered the ultimate restorative material. However, amalgam has proven to be an excellent restorative material with few side effects--amalgam saves teeth.
当前的汞合金问题并非新鲜事。在19世纪40年代,甚至在主张使用黄金作为修复材料的牙医和使用银汞合金作为填充材料的牙医之间爆发了一场“汞合金战争”。有人抱怨汞合金中的汞对健康产生不良影响。在这个问题上的分歧有可能将牙科界分为两个阵营:使用汞合金的人和谴责汞合金的人。美国第一个全国性牙科协会,即美国牙科外科医生协会,因这场争议而不得不解散。甚至在19世纪80年代出现了一场“新起点”运动,旨在淘汰在严重损坏的牙齿中使用黄金作为修复材料的做法,因为使用不需要像当时被视为终极修复材料的金箔那样进行加压填密所需力量的材料,可以更容易地挽救这些牙齿。然而,事实证明汞合金是一种出色的修复材料,副作用很少——汞合金能保住牙齿。